胸腔排水对手术后胸部手术患者群体脉冲氧计的影响
Christopher R Gilbert1, Jason A Akulian2, Candice L Wilshire3
1Section of Interventional Pulmonology, Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine, Medical University of South Carolina, Charleston, SC, USA; The Center for Lung Research in Honor of Wayne Gittinger, Seattle, WA, USA.
胸腔排水可显著改善胸部手术后患者的氧和度 (SpO2). 然而,这种改善对脉冲氧计的临床影响需要进一步研究.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 临界护理医学 临界护理医学
背景情况:
- 在术后胸部手术患者中,多流是常见的.
- 这些排泄会导致延长住院和再入院.
- 之前关于膜疏通对缺氧的影响的研究已经产生了混合的结果.
研究的目的:
- 确定胸腔排水对脉冲氧量 (SpO2) 在胸部手术后患者的影响.
- 分析过程后氧和和补充氧需求的变化.
主要方法:
- 追溯性研究设计.
- 包括手术后胸部外科手术的患者,这些患者经历了多发性排水.
- 记录手术前和后的脉冲氧计 (SpO2) 和吸入氧气 (FiO2) 的分数值.
主要成果:
- 总共有95名患者接受了122次多排水手术.
- 平均排水量为619毫升,88.5%的手术排水量小于1000毫升.
- 在手术后24小时观察到SpO2 (94.0%至97.3%) 和SpO2/FiO2比率 (344.5至371.9) 的显著增加 (p < 0.0001).
- 同时,FiO2 (0.31到0.29) 的显著下降也被注意到 (p = 0.0081).
结论:
- 胸腔排水导致手术后胸部手术患者的SpO2和氧气补充的统计学上显著改善.
- 这些观察到的脉冲氧计改善的临床意义仍然不确定.
- 胸腔排水可能对脉冲氧测量具有最小的临床影响,尽管具有统计学意义.
更多相关视频
05:39Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
09:31Normothermic Negative Pressure Ventilation Ex Situ Lung Perfusion: Evaluation of Lung Function and Metabolism
Published on: February 14, 2022
相关概念视频
Pulse Oximetry
Purpose
Average SpO2 values are greater than 95%. If the readings fall below 90%, it indicates that...
Special considerations while measuring oxygen saturation
Ensuring accuracy in vital sign recordings while prioritizing patient comfort and minimizing anxiety is...
Pneumothorax-II
Clinical Manifestations:
Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Guidelines For Measuring Vital Signs
Before taking a patient's vital signs, a nurse would consider and assess the patient's comfort level and ensure appropriate equipment is available.
Respiratory Assessment: Purpose and Indications
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
